TY - JOUR
T1 - A gender-based analysis of predictors and sequelae of burnout among practicing American vascular surgeons
AU - the SVS Wellness Task Force
AU - Drudi, Laura M.
AU - Mitchell, Erica L.
AU - Chandra, Venita
AU - Coleman, Dawn M.
AU - Hallbeck, M. Susan
AU - Mannoia, Kristyn
AU - Money, Sam R.
AU - Brown, Kellie R.
AU - Coleman, Dawn
AU - Sheahan, Mal
AU - Money, Samuel
AU - Bismuth, Jean
AU - Brown, Kellie
AU - Cassada, David
AU - Chawla, Amit
AU - Drudi, Laura
AU - Eidt, John
AU - Freischlag, Julie
AU - Glebova, Natalia
AU - Guidry, London
AU - Holleran, Brian
AU - Huber, Thomas
AU - Kalish, Jeffrey
AU - Meltzer, Andrew
AU - Mitchell, Erica Leith
AU - Mondy, J. Sheppard
AU - Rigberg, David
AU - Sternbergh, W. Charles
AU - Summers, Kelli
AU - Veeraswamy, Ravi
AU - Velazquez-Ramirez, Gabriela
AU - Wohlauer, Max
N1 - Funding Information:
This research was funded by the Society for Vascular Surgery .
Publisher Copyright:
© 2021 Society for Vascular Surgery
PY - 2022/4
Y1 - 2022/4
N2 - Objective: Surgeons report higher burnout and suicidal ideation (SI) rates than the general population. This study sought to identify the prevalence and gender-specific risk factors for burnout and SI among men and women vascular surgeons to guide future interventions. Methods: In 2018, active Society for Vascular Surgery members were surveyed confidentially using the Maslach Burnout Index embedded in a questionnaire that captured demographic and practice-related characteristics. Results were stratified by gender. Univariate and multivariate logistic regression models were developed to identify predictors for the end points of burnout and SI. Results: Overall survey response rate was 34.3% (N = 878) of practicing vascular surgeons. A higher percentage of women responded (19%) than compose membership in the Society for Vascular Surgery (13.7%). Women respondents were significantly younger, with fewer years in practice, and were less likely to be in private practice than the men who responded. Women were also less likely to be married/partnered, or to have children. The prevalence of burnout was similar for women and men (42.3% and 40.9%; P = nonsignificant); however, the prevalence of SI was significantly higher in women (12.9% vs 6.6%; P < .007). Whereas there was no difference in mean hours worked or call taken, women were more likely to have had a recent conflict between work and home responsibilities and to have resolved this conflict in favor of work. Although men and women had the same incidence of reported recent medical errors, women were less likely to self-report a recent malpractice suit or to think that a fair resolution was reached. There was no gender difference in reported work-related pain. Multivariable analysis revealed that not enough family time and work-related pain were predictors for burnout in both men and women. Additional factors were associated with burnout in men, such as malpractice and electronic medical record dissatisfaction. Multivariable analysis revealed that work-related pain was an independent predictor for SI for the entire cohort. Conclusions: The prevalence of burnout among vascular surgeons is high. Women vascular surgeons have double the rates of SI compared with male vascular surgeons. Taken together, this study demonstrated that many of the same factors are associated with burnout in women and men, which include not enough family time, conflict between work and personal life, and work-related pain. Additional factors in men included conflict between work and family, work-related pain, and electronic medical record dissatisfaction.
AB - Objective: Surgeons report higher burnout and suicidal ideation (SI) rates than the general population. This study sought to identify the prevalence and gender-specific risk factors for burnout and SI among men and women vascular surgeons to guide future interventions. Methods: In 2018, active Society for Vascular Surgery members were surveyed confidentially using the Maslach Burnout Index embedded in a questionnaire that captured demographic and practice-related characteristics. Results were stratified by gender. Univariate and multivariate logistic regression models were developed to identify predictors for the end points of burnout and SI. Results: Overall survey response rate was 34.3% (N = 878) of practicing vascular surgeons. A higher percentage of women responded (19%) than compose membership in the Society for Vascular Surgery (13.7%). Women respondents were significantly younger, with fewer years in practice, and were less likely to be in private practice than the men who responded. Women were also less likely to be married/partnered, or to have children. The prevalence of burnout was similar for women and men (42.3% and 40.9%; P = nonsignificant); however, the prevalence of SI was significantly higher in women (12.9% vs 6.6%; P < .007). Whereas there was no difference in mean hours worked or call taken, women were more likely to have had a recent conflict between work and home responsibilities and to have resolved this conflict in favor of work. Although men and women had the same incidence of reported recent medical errors, women were less likely to self-report a recent malpractice suit or to think that a fair resolution was reached. There was no gender difference in reported work-related pain. Multivariable analysis revealed that not enough family time and work-related pain were predictors for burnout in both men and women. Additional factors were associated with burnout in men, such as malpractice and electronic medical record dissatisfaction. Multivariable analysis revealed that work-related pain was an independent predictor for SI for the entire cohort. Conclusions: The prevalence of burnout among vascular surgeons is high. Women vascular surgeons have double the rates of SI compared with male vascular surgeons. Taken together, this study demonstrated that many of the same factors are associated with burnout in women and men, which include not enough family time, conflict between work and personal life, and work-related pain. Additional factors in men included conflict between work and family, work-related pain, and electronic medical record dissatisfaction.
KW - Burnout
KW - Gender
KW - Suicidal ideation
KW - Vascular surgery
KW - Wellness
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U2 - 10.1016/j.jvs.2021.09.035
DO - 10.1016/j.jvs.2021.09.035
M3 - Article
C2 - 34634416
AN - SCOPUS:85124143303
VL - 75
SP - 1422
EP - 1430
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
SN - 0741-5214
IS - 4
ER -